Individual
LYNELLE KIM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
370 CRENSHAW BLVD STE E100, TORRANCE, CA 90503-1728
(310) 787-1500
Mailing address
370 CRENSHAW BLVD STE E100, TORRANCE, CA 90503-1728
(310) 787-1500
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
MPSS-SHGVBA
CA
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
04/14/2020
Last updated
08/22/2025
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